1974, 07-15 Permit App: K5234 Addition to Barn•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 3
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner S.. L L`f �� Address c- tssYf•.-'L l 11l=1 (S A)'hone
Architect Address Phone
Address Phone
Address Phone
Legal Description of Propel. Give complete description from deed, tax receipt, etc) /_
A 2 7 C- } �JZ �' ,4 } A/ ✓ e . S' " //.�= ot) s'e,/` d
Engineer
Contractor
DESCRIPTION OF WORK: New _�_ Addition_ Remodel Moving Bldg. Zone /Fire Zone
i _ Sewage System ,--7-z--e--A-'—onst.
(Fr., Co. r., etc.) 0/.
Total Sq. FtC>%',7Valu. .n J Tc
Rooms BathsBasement Foundation Const Chimney Fireplace
FUII, part, none)
Size of Lot
Stories Dimensions
Heat. System
Use of Bldg.
(Kind) (Number
Type-pf Roofing xt. Finish Int. Wall Finish
No. of Unites _ Bedrooms
Draw sketch with dite�Isions showing: (1) property lines; (2) street or road locations; (3) locatiafi of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
to
NORTH
I hereby certify
as
Owner or Agent
SOUTH
State License No.
yn �
Ind. Ins. Kcct. No.
- REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
-I
Plans Received /
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
information submitte is correct and there are no other structures located thi property except
Date
AI LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will b
Sewage Pet;pirti,N her �.ued Building Permit
Remarks (� �-
O NOT WRITE BELOW THIS LINE
'
< e zone is .�
Receipt Issued
Form 523 Bldg. Code